Pharmacist-led hospital intervention reduces unintentional patient-generated medication discrepancies after hospital discharge.

ABSTRACT:

Background

Medication reconciliation can significantly reduce clinically important medication errors at hospital discharge, but its impact on post-discharge medication management has not been investigated. We aimed to investigate the incidence of patient-generated medication discrepancies 30 days after hospital discharge and the impact of a pharmacist-led medication reconciliation coupled with patient counselling on clinically important discrepancies caused by patients.

Methods

A pragmatic, prospective, controlled clinical trial was conducted at the University Clinic Golnik, Slovenia. Adult patients were divided into an intervention group and a control group. The intervention group received pharmacist-led medication reconciliation at admission and discharge, plus patient cou

SUBMITTER: Jost M 

PROVIDER: S-EPMC11551538 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature